Application – Miami March of the Living

March of the Living 2023-2024 Application

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Please complete all fields to the best of your ability.

*Denotes a required field

Applicant Information

Registrant(Teen) First Name^*

Registrant(Teen) Last Name^*

Registrant(Teen) Email Address^*

Preferred First Name that would appear on name tags

Date of Birth^*

Home County^*

Gender^*

Male
Female

Street Address^*

City^*

State^*

Zip Code^*

Registrant(Teen) Cellphone Number^*

Home Phone

T-shirt Size^*

Jacket Size^*

Do you speak Hebrew?^*

Do you speak Spanish?^*

Name of school you currently attend:^*

Grade as of September 1, 2022^*

Please provide your current GPA (unweighted)^*

Please complete all fields to the best of your ability.

*Denotes a required field

Parent/Guardian Information

Parents Marital Status^*

Do you live with...^*

Parent/Guardian #1 First Name^*

Parent/Guardian #1 Last Name^*

Parent/Guardian #1 Email^*

Parent/Guardian #1 Cell Phone^*

Parent/Guardian #1 Work Phone

Parent/Guardian #1 Street Address^*

Parent/Guardian #1 City^*

Parent/Guardian #1 State^*

Parent/Guardian #1 Zip Code^*

Is Parent/Guardian #1 Jewish?^*

Can we contact Parent/Guardian #1?^*

Parent/Guardian #2 First Name^*

Parent/Guardian #2 Last Name^*

Parent/Guardian #2 Email^*

Parent/Guardian #2 Cell Phone^*

Parent/Guardian #2 Work Phone

Parent/Guardian #2 Street Address^*

Parent/Guardian #2 City^*

Parent/Guardian #2 State^*

Parent/Guardian #2 Zip Code^*

Is Parent/Guardian #2 Jewish?^*

Can we contact Parent/Guardian #2?^*

My Parent/Guardian would like to apply for Financial Assistance (FA)?^*

Please complete all fields to the best of your ability.

*Denotes a required field

Did you attend Alexander Muss High School in Israel (HSI)?^*

When did you attend HSI?^*

Do you have any Jewish School experience? (include primary, secondary, or supplementary/aftercare programs)^*

Name of Jewish Schools & Grades Attended^*

Do you have any camp/youth group experience?(include overnight, day camp, and any youth groups)^*

Name of Camps/Youth Groups & Years Attended^*

How do you identify Jewishly? (Click on all that apply)^*

Reform
Reconstructionist
Humanistic
Conservative
Traditional
Orthodox (Ashkenazic)
Orthodox (Sephardic)
Just Jewish
Culturally Jewish
Other

Your Family's Synagogue Affiliation/Membership^*

Are you Shomer/et Shabbat?^*

Please explain your observance on Shabbat^*

Do you have siblings and/or parents that participated in Miami's March of the Living?^*

Name your family members that have participated in Miami's March of the Living as well as the year they attended^*

Please list all leadership positions you have held as a camp counselor, teacher, youth group board member both in Jewish and secular communities in the last three years.^*

Do you play any musical instruments?^*

Do you have experience leading groups?^*

Please explain^*

Would you feel comfortable leading services in a group?^*

Would you feel comfortable leading other group activities? (i.e. a presentation at one of the sites or during a pre-session)^*

Please list any volunteer/community service experience along with the year in which it was performed over the last three years.^*

PRIOR TRAVEL EXPERIENCE

Have you traveled outside of the United States before?^*

Have you ever traveled as part of a student group/delegation WITHOUT your parents/family?^*

Have you traveled domestically since March 2020?^*

Have you traveled out of the country since March 2020?^*

How many times have you been to Israel?^*

List your favorite hobbies, talents and interests:^*

Please complete all fields to the best of your ability.

*Denotes a required field

HOLOCAUST CONNECTION

Do you have any family or close family friends who survived the Holocaust and are still living?^*

Do you know their story?^*

Do you have any family or close family friends who survived the Holocaust and are deceased?^*

Do you know their story?^*

Do you have any family or close family friends who perished in the Holocaust?^*

Do you know their story?^*

DIETARY REQUIREMENT/PREFERENCES

Do you have any food allergies or dietary requirements other than keeping kosher?^*

Please explain^*

Do you have any allergies that we should be aware of?^*

Please explain^*

Please complete all fields to the best of your ability.

*Denotes a required field

PLEASE ANSWER THE FOLLOWING IN FULL COMPLETE SENTENCES

ABOUT 3-4 SENTENCES FOR EACH QUESTION.

What aspects of Jewish life do you connect with most strongly?^*

What interests you most regarding the opportunity to participate on the March of the Living?^*

Please explain what you hope to gain from the March of the Living experience and what you will do with it.^*

Do you feel a strong responsibility to the Jewish people, it's customs, tradition and history?^*

Do you understand that if we are able to travel the March requires a great deal of physical exertion and can be physically and emotionally demanding, with lack of sleep and we will walk approximately 5 miles per day:^*

Have you recently experienced a traumatic event in your life?^*

Please explain^*

How did you learn about the March of the Living?^*

Siblings
Parents
Friends
School
Rabbi
Youth Group
Past Marcher
March Recruitment Event
Other

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